The objective of this work is to study continuous-time Markov decision processes on a general Borel state space with both impulsive and continuous controls for the infinite-time horizon discounted cost. The continuous-time controlled process is shown to be non explosive under appropriate hypotheses. The so-called Bellman equation associated to this control problem is studied. Sufficient conditions ensuring the existence and the uniqueness of a bounded measurable solution to this optimality equation are provided. Moreover, it is shown that the value function of the optimization problem under consideration satisfies this optimality equation. Sufficient conditions are also presented to ensure on one hand the existence of an optimal control strategy and on the other hand the existence of an $varepsilon$-optimal control strategy. The decomposition of the state space in two disjoint subsets is exhibited where roughly speaking, one should apply a gradual action or an impulsive action correspondingly to get an optimal or $varepsilon$-optimal strategy. An interesting consequence of our previous results is as follows: the set of strategies that allow interventions at time $t=0$ and only immediately after natural jumps is a sufficient set for the control problem under consideration.
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